Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $478.63 / $588.84	Facility		$263.03	$478.63	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $416.87	Professional		$162.18	$208.93	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $977.24	Professional		$120.23	$120.23	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,174.90	Facility		$630.96	$724.44	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $741.31	Professional		$114.82	$380.19	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $263.03 / $676.08	Facility		$165.96	$263.03	$676.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $1,047.13	Facility		$194.98	$288.40	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $1,412.54	Professional		$177.83	$288.40	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $316.23	Professional		$32.36	$51.29	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $741.31	Professional		$380.19	$512.86	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,412.54 / $1,412.54	Facility		$426.58	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $1,288.25 / $1,445.44	Professional		$107.15	$1,288.25	$1,445.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $457.09	Professional		$398.11	$398.11	$457.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,318.26	Professional		$398.11	$660.69	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $2,818.38	Facility		$446.68	$446.68	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $645.65	Professional		$138.04	$223.87	$645.65